3270.25(b) · The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

The sanction letter and corresponding inspection summaries were not posted in a conspicuous location used by parents.

Corrected Corrected by Jul 10, 2025

Marked corrected in the state record.

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The current certificate of compliance was not posted in a conspicuous location used by parents.

Corrected Corrected by Jul 10, 2025

Marked corrected in the state record.

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

According to the operator, a director has not been employed at the facility since the end of February 2025. As of 5-27-25, the facility has not employed a staff person that qualifies to be the director.

Corrected Corrected by Jun 13, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The file for child #2 had an agreement that lacked the fee amount.

Corrected Corrected by Feb 28, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

The file for staff person #5 had emergency plan training that was dated after initial employment at the facility. (See LIS CODE SHEET)

Corrected Corrected by Feb 28, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The operator's letter provided to the parent of each enrolled child explaining the emergency procedures lacked the accommodations for infants and toddlers.

Corrected Corrected by Mar 4, 2025

Category: physical safety. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

The files for staff person #1 and #4 had fire safety training that exceeded a year between trainings.

Corrected Corrected by Feb 28, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Until such time as the required training has been completed, staff person #3 must be supervised, when interacting with children at a minimum by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #3, staff person #3 may not work in a child care position at the facility.

Staff person #3 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 8-23-18. Staff person #1 had mandated reporter trainings dated 9-4-19 and 10-16-24 that were over 60 months between trainings.

Corrected Corrected by Feb 28, 2025

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #1 and Staff Person #2 may not work in a child care position at the facility.

The file for staff person #1 had an NSOR verification certificate dated 11-16-19 and lacked a current NSOR verification certificate dated within the last 60 months. The file for staff person #2 had an NSOR verification certificate dated 2-7-20 and lacked a current NSOR verification certificate dated within the last 60 months. The file for staff person #5 had an NSOR verification certificate dated 7-23-24 that was after their start date at the facility. (See LIS CODE SHEET)

Corrected Corrected by Mar 7, 2025

Category: background checks. Marked corrected in the state record.

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

In the 4-5 year old room, the first-aid kit lacked sterile gauze pads.

Corrected Corrected by Feb 28, 2025

Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

In the lobby, there were multiple loose and broken floor tiles that had pieces that were coming apart from the floor.

Corrected Corrected by Apr 18, 2025

Category: physical safety. Marked corrected in the state record.

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

In the 4-5 year old room during naptime, there were 3 children on cots that lacked 2 feet of space on three sides. In the 3-4 year old room during naptime, there were 2 children on cots that lacked 2 feet of space on three sides.

Corrected Corrected by Feb 28, 2025

Category: physical safety. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

The file for child #2 lacked a current child service report updated within the last 6 months.

Corrected Corrected by Mar 3, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The file for child #2 had an emergency contact form that lacked the address of the individual designated by the parent to whom the child may be released.

Corrected Corrected by Mar 3, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The file for child #1, a preschooler, had a health assessment that exceeded 12 months between assessments.

Corrected Corrected by Feb 28, 2025

Category: health medication. Marked corrected in the state record.

3270.151(a)/3270.151(c)(2) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

The file for staff person #5 had a health assessment and tuberculosis screening by the Mantoux method that were dated after providing initial service in a child care setting at the facility. The files for staff person #1 and #3 had health assessments that exceeded 24 months between assessments.

Corrected Corrected by Feb 28, 2025

Category: ratio. Marked corrected in the state record.

3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The file for child #3 lacked a current emergency contact form and agreement updated by the parent within the last 6 months.

Corrected Corrected by Feb 28, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The file for staff person #5 had one written, nonfamily reference and lacked a second written, nonfamily reference.

Corrected Corrected by Mar 3, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days on multiple occasions within the last year.

Corrected Corrected by Mar 4, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.66(e) · Arts and crafts materials shall be nontoxic.

There were paint bottles in the preschool room labeled "not for use by children" reportedly used by the children for craft projrcts.

Corrected Corrected by Feb 12, 2024

Marked corrected in the state record.

3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

There were 2 trashcans in the School-age/Older Toddler room that contained food waste and were not lined with a plastic bag.

Corrected Corrected by Mar 7, 2024

Category: nutrition. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The file for Staff Person #1, #3, #4 did not contain the Pa. Health and Safety update 2022 which was required to be completed by 12.30.22, as per Announcement C-22-06, and which was previously viewed by the Certification Representative.

Corrected Corrected by Mar 7, 2024

Category: ratio. Marked corrected in the state record.

3270.27(c)/3270.192(2)(iii) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff person #3 included documentation of emergency plan training dated 10/25/21and 3/28/23, more than 1 year apart.

Corrected Corrected by Feb 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii)/3270.192(2)(iii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The two most recent Fire Safety training certificates on file for Staff person #2 and #3 are dated 11/9/21 and 11/17/23, more than 1 year apart.

Corrected Corrected by Mar 7, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #3 may not work in a child care position at the facility.

The current criminal history clearance on file for Staff person #3 did not include a dissemination date, making it invalid.

Corrected Corrected by Mar 7, 2024

Category: background checks. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The two most recent staff evaluations on file for Staff person #2 are dated 10/3/22 and 2/1/24, more than 12 months apart.

Corrected Corrected by Mar 7, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

There was a power strip accessible to children under the age of 5 years, in the School-Age/Older Toddler Room, that was lacking outlet covers. In the same room, there was an outlet by the bookshelf by the windows, accessible to children under 5 years of age.

Corrected Corrected by Mar 7, 2024

Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

The table in the School-age room had dried food remains, appearing to be bread and jelly, on the table that had not been cleaned after last being used. There was a foam puzzle playmat in the School-age/Older Toddler room that was peeling and had pieces that had broken off, leaving holes in the mat. There were several fence bolts on the fence facing into the playground that protruded from the fence and did not have covers on the bolts. There was a 4x4 and a 2x4 piece of wood, several feet long, on the ground in the playground and accessible to children, that were both splintered, with multiple wood shards exposed. There were several pieces of garbage on the playground that was not placed in a waste receptacle and was accessible to children.

Corrected Corrected by Mar 7, 2024

Category: nutrition. Marked corrected in the state record.

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

There was peeling paint by the sink and above the baseboard in the School-age room. There was peeling paint above the baseboard in the dress-up area in the preschool room.

Corrected Corrected by Mar 7, 2024

Category: physical safety. Marked corrected in the state record.

3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

The bathroom beside the School-age room did not include a lidded waste receptacle.

Corrected Corrected by Mar 7, 2024

Category: health medication. Marked corrected in the state record.

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

There was a dollhouse in the school-age room that had a crack in the roof and had a loose pole on the house, making the part of the house unstable. There was a sensory tube in the preschool room that was cracked the length of the tube.

Corrected Corrected by Mar 7, 2024

Category: physical safety. Marked corrected in the state record.

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

There were vinyl-covered foam climbing bolsters in the infant room that had tears in the vinyl, exposing foam that could become a choking hazard.

Corrected Corrected by Mar 8, 2024

Category: physical safety. Marked corrected in the state record.

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

The numbered rest equipment in the infant room did not have a corresponding chart identifying which crib or cot is for which child.

Corrected Corrected by Mar 8, 2024

Category: physical safety. Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The agreement on file for Child #1, #5 does not include the amount of the fee to be paid by the parent/guardian.

Corrected Corrected by Mar 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

The agreement on file for Child #5, and #6 does not include the child's date of admission

Corrected Corrected by Mar 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact form on file for Child #3, #4, and #6 does not include the work address and/or telephone number for the enrolling parent.

Corrected Corrected by Mar 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The emergency contact form on file for Child #3 does not include a complete address for all listed release persons. The financial agreement on file for Child #3 included release persons names that were not included on the Emergency contact form.

Corrected Corrected by Mar 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The most recent 6-month review signature for the emergency contact form and financial agreement on file for Child #1 and #4 is dated 3/28/23, more than 6 months ago.

Corrected Corrected by Mar 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

The two most recent health assessments on file for Child #3, who was a young toddler, are dated 11/22/22 and 9/22/23, more than 6 months apart.

Corrected Corrected by Feb 12, 2024

Category: health medication. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The two most recent health assessments on file for Child #2, who is a preschool age child, are dated 10/11/21 and 6/23/23, more than 12 months apart.

Corrected Corrected by Feb 12, 2024

Category: health medication. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(3) · ·Child #3 and #6 must be dismissed from care by close of business on 2/12/23, and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The immunization record on file for Child #3, who is 2 years old, includes 3 of 4 Pneumococcal vaccines recommended by the ACIP for a child this age. The immunization record on file for Child #6, with an enrollment date of 11/15/23, more than 60 days ago, does not include an immunization record and the personal exemption that is on file is not in the required format.

Corrected Corrected by Mar 8, 2024

Category: health medication. Marked corrected in the state record.

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The 2 most recent health assessments on file for Staff person #2 are dated 1/6/21 and 4/30/23, more than 24 months apart.

Corrected Corrected by Mar 7, 2024

Category: ratio. Marked corrected in the state record.

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

There was an infant feeding bottle in the refrigerator in the infant room that was not labeled with the name of the child for who the bottle was intended.

Corrected Corrected by Feb 12, 2024

Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff person #3 does not include 12 required annual training hours completed between 12/19/22-12/31/23.

Corrected Corrected by Mar 7, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Staff person #5 will have until 5/23/23 to complete the training.

The Health and Safety professional development training update on file for Staff person #1 is dated 3/8/23, after the deadline of 12/30/22, as per Announcement C-22-06. The Health and Safety professional development training update on file for Staff person #2 is dated 3/1/23, after the deadline of 12/30/22, as per Announcement C-22-06. The Health and Safety professional development training update on file for Staff person #4 is dated 1/17/23, after the deadline of 12/30/22, as per Announcement C-22-06. The file for Staff person #5 does not include verification of completing the Health and Safety professional development training update, due by 12/30/22, as per Announcement C-22-06. The Health and Safety professional development training update on file for Staff person #6 is dated 1/14/23, after the deadline of 12/30/22, as per Announcement C-22-06.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

3270.27(c)/3270.192(2)(iii) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The two most recent emergency plan trainings on file for Staff person #5 are dated 10/25/21 and 3/28/23, more than 1 year apart.

Corrected Corrected by May 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(1)(iii)/3270.192(2)(iii) · Training conducted in conferences or workshops is acceptable and may count toward the annual requirement for 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff person #6 includes 2 of the 12 required annual training hours which were to be completed between 12/19/21-12/19/22, and 9 additional hours completed in January 2023,

Corrected Corrected by May 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii)/3270.192(2)(iii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The most recent fire safety training on file for Staff person #1 is dated 11/9/21, more than 1 year ago. The most recent fire safety training on file for Staff person #5 is dated 11/9/21, more than 1 year ago.

Corrected Corrected by May 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #3 may not work in a child care position at the facility.

The file for Staff person #3 included a criminal history clearance dated 4/17/18; a child abuse clearance dated 4/25/18, and an FBI clearance dated 5/1/18, all dated more than 60 months ago. Staff person was suspended on 4/18/23.

Corrected Corrected by May 4, 2023

Category: background checks. Marked corrected in the state record.

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

Peeling paint was present on the wall around the soap dispenser in the bathroom beside the school-age room.

Corrected Corrected by May 10, 2023

Category: physical safety. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

The two most recent child service reports on file for Child #1 are dated 9/9/22 and 4/10/23, more than 6 months apart. The current child service report on file for Child #4 is dated 3/28/23, but was due to be completed by 10/31/22, as per Announcement C-21-09, which was updated 9/30/22.

Corrected Corrected by May 4, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact form on file for Child #2 does not include the address and/or telephone number for the enrolling parent's employment.

Corrected Corrected by May 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The emergency contact form on file for Child #4 does not include a complete address for all listed release persons.

Corrected Corrected by May 10, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The most recent health assessment on file for Child #3, who is 5 years old, is dated 4/9/21, more than 12 months ago. The two most recent health assessments on file for Child # 4, who is 4 years old, are dated 12/18/18 and 10/22/22, more than 12 months apart.

Corrected Corrected by May 25, 2023

Category: health medication. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). ·Child #1, #3, and #4 must be dismissed from care by close of business on 5/5/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The immunization record on file for Child #1, who is 16 months old, included 3 of 4 PCV vaccines recommended by the ACIP for a child this age and 0 Influenza vaccines recommended annually by the ACIP for a child this age. The immunization record on file for Child #3, who is 5 years old, included 3 of 4 DTAP vaccines recommended by the ACIP for a child this age; 3 of 4 PCV vaccines recommended by the ACIP for a child this age; 1 of 2 Hepatitis A vaccines recommended by the ACIP for a child this age; and 0 Influenza vaccines recommended annually by the ACIP for a child this age. The immunization record on file for Child #4, who is 4 years old, included 3 of 4 DTAP vaccines recommended by the ACIP for a child this age; 3 of 4 PCV vaccines recommended by the ACIP for a child this age; and 0 Influenza vaccines recommended annually by the ACIP for a child this age.

Corrected Corrected by May 10, 2023

Category: health medication. Marked corrected in the state record.

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The most recent health assessment on file for Staff person #1 is dated 4/4/21, more than 1 year ago.

Corrected Corrected by May 10, 2023

Category: ratio. Marked corrected in the state record.

3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

The file for Child #1, with an enrollment date of 4/25/22, more than 60 days ago, does not include a health assessment.

Corrected Corrected by May 10, 2023

Category: health medication. Marked corrected in the state record.

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

At an unannounced monitoring inspection on 1/17/23, it was reported that the previous facility director, was no longer working at the facility, as of 12/20/22. The facility does not currently have a qualified director on staff.

Corrected Corrected by Mar 17, 2023

Marked corrected in the state record.

3270.31(e)(4)(i)/3270.192(2)(iii) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff person #3 includes current Pediatric First Aid /CPR dated 11/9/21, after the previous training, dated 10/8/19 expired.

Corrected Corrected by Dec 1, 2022

Category: ratio. Marked corrected in the state record.

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The 2 most recent mandated reporter training certificates on file for Staff person #3 are dated 1/30/17 and 10/3/22, more than 60 months apart.

Corrected Corrected by Oct 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file for Staff person #2 includes criminal history clearances dated 8/4/15 and 8/12/20 and child abuse clearances dated 8/7/15 and 8/14/20, both more than 60 months apart. The file for Staff person #3 includes criminal history clearances dated 8/4/15 and 8/12/20 and child abuse clearances dated 8/10/15 and 8/17/20, both more than 60 months apart. The file for staff person #4 includes an NSOR certificate dated 8/13/20, after the deadline of 7/1/20 for employees hired prior to 9/30/19 (See IS CODE SHEET). The NSOR on file is dated 8/13/20.

Corrected Corrected by Oct 21, 2022

Category: background checks. Marked corrected in the state record.

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first aid kit in the Infant room did not contain gauze.

Corrected Corrected by Oct 21, 2022

Category: health medication. Marked corrected in the state record.

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

There was cracked/peeling paint next to the bookshelf in the school age room.

Corrected Corrected by Dec 21, 2022

Category: physical safety. Marked corrected in the state record.

3270.82(j) · A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

There was no running water in the diaper changing area in the Infant room for staff to wash their hands or children's hands following a diaper change.

Corrected Corrected by Oct 24, 2022

Category: health medication. Marked corrected in the state record.

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

During the renewal inspection, the refrigerator in the infant room, used to store infant formula/milk, did not have a working thermometer.

Corrected Corrected by Oct 21, 2022

Category: nutrition. Marked corrected in the state record.

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The emergency contact form on file for Child #1 does not include a complete address for all listed release persons.

Corrected Corrected by Oct 24, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

The 2 most recent health assessments on file for Child #1, who is a young toddler, are dated 6/16/21 and 10/11/22, more than 6 months apart.

Corrected Corrected by Oct 24, 2022

Category: health medication. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The immunization record on file for Child #1, who is 21 months old, included 3 of 4 pneumococcal vaccines recommended by the ACIP for a child this age and 2 of 4 HIB vaccines recommended by the ACIP for a child this age.

Corrected Corrected by Jan 17, 2023

Category: health medication. Marked corrected in the state record.

3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

Staff person #5 was observed changing multiple diapers in the infant room without washing he child's hands after the diaper changes.

Corrected Corrected by Oct 24, 2022

Category: health medication. Marked corrected in the state record.

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The 2 most recent health assessments on file for Staff person #1 were dated 8/24/20 and 9/29/22, more than 24 months apart. The 2 most recent health assessments on file for Staff person #2 were dated 9/25/18 and 1/4/21, more than 24 months apart. The 2 most recent health assessments on file for Staff person #3 were dated 12/28/18 and 1/6/21, more than 24 months apart. The 2 most recent health assessments on file for Staff person #4 were dated 6/19/18 and 11/3/22, more than 24 months apart. The 2 most recent health assessments on file for Staff person #5 were dated 5/22/20 and 10/18/22, more than 24 months apart.

Corrected Corrected by Oct 21, 2022

Category: ratio. Marked corrected in the state record.

3270.152 · A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Staff person #5 was observed changing multiple diapers in the infant room without washing her hands after each diaper change.

Corrected Corrected by Oct 24, 2022

Category: health medication. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The facility did not have verification of having completed an emergency drill by 12/19/21, which was required with the 12/19/20 Chapter 3270 regulation updates.

Corrected Corrected by Oct 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The facility does not have a fire alarm 30-day test log, as required with the 12/19/20 Chapter 3270 regulation updates.

Corrected Corrected by Oct 21, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

The facility does not have documentation verifying that the most recent emergency plan was submitted to the local municipality and to the county emergency management agency.

Corrected Corrected by Oct 28, 2022

Category: physical safety. Marked corrected in the state record.

3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

In the boy's and girl's restroom, waste receptacle's were not equipped with lids.

Corrected Corrected by Oct 16, 2021

Category: health medication. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The Emergency Contact Form for Child #5 lacked Name, Address and Phone Number of the Physician or Medical Care Provider.

Corrected Corrected by Nov 11, 2021

Category: health medication. Marked corrected in the state record.

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

A hand, crank pencil sharpener, in the pre-school room, without a pencil shavings cover, exposing the sharpening disks was accessible to children and poses a cutting or finger crushing hazard. In the preschool room, thumb tacks were observed on the floor and on the teacher's desk which pose a cutting or puncture hazard. A pair of adult scissors and a hoop earring with a sharp back (point) were observed in the Preschool teacher's desk which pose a puncture and cutting risk as they were accessible to children.

Corrected Corrected by Dec 11, 2021

Category: health medication. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

The file for staff #3, #4 and #5 lacked Emergency Plan Training at the time of initial employment.

Corrected Corrected by Oct 25, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii)/3270.192(2)(iii) · Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff person #1 and Staff Person #2 lacked documentation of fire safety training during their respective anniversary years.

Corrected Corrected by Dec 11, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the following topics within 90 days of hire: (1) Prevention and control of infectious diseases (including immunization); (2) Prevention of Sudden Infant Death Syndrome and use of safe sleep practices; (3) Administration of medication, consistent with standards for parental consent; (4) Prevention of and response to emergencies due to food and allergic reactions; (5) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (6) Prevention of shaken baby syndrome and abusive head trauma; (7) Emergency preparedness and response planning for emergencies resulting from a natural disaster or a man-caused event (such as violence at a child care facility); (8) Handling and storage of hazardous materials and appropriate disposal of bio contaminants; (9) Precautions when transporting children.

Staff person #3, who has worked at the facility for more than 90 days, lacked training in the 10 required health and safety training topics.

Corrected Corrected by Nov 11, 2021

Category: ratio. Marked corrected in the state record.

3270.31(f)/3270.31(f)(10) · Staff persons shall complete professional development in the following topics within 90 days of the date of hire: pediatric first aid and pediatric cardiopulmonary resuscitation.

Staff person #4 and Staff person #5, who have worked at the facility for more than 90 days, lacked training in pediatric first aid and pediatric CPR.

Corrected Corrected by Nov 11, 2021

Category: health medication. Marked corrected in the state record.

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The Emergency Contact Form for Child #1, #4 and #5 lacked a completed work and home address for the enrolling parent.

Corrected Corrected by Nov 11, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The two most recent PA State Police and Child Abuse clearances for Staff #2 were dated more than 60 months apart. Staff person #5, with a documented start date with children of 3-15-21, had an NSOR dated 3-16-21. The disclosure statements in the files for Staff #1 hired in 2020, were on outdated forms not used since prior to 2015. The disclosure statements in the files for Staff #4 hired in 2021, were on outdated forms not used since prior to 2015. The disclosure statement for Staff person #5 lacked the date it was signed and witnessed

Corrected Corrected by Nov 11, 2021

Category: background checks. Marked corrected in the state record.

3270.33(a)/3270.192(4) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #--- may not work in a child care position at the facility.

The file for Staff #1 did not include hours/years of experience in childcare.

Corrected Corrected by Nov 11, 2021

Category: background checks. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

Staff person #1 and Staff person #2 lacked an annual written evaluation that was conducted within the past 12 months.

Corrected Corrected by Nov 11, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

Staff person #3, qualified to be an aide, was observed in the hallway of the facility leading to the outdoor play area supervising a group of children. Staff person #4, who was functioning as an AGS, was taking play equipment from the hallway to the outdoor play space and was not physically present with Staff person #3. Also, Staff person #4 could not see Staff person #3 while taking the play equipment outside. In addition, Staff #3 was observed on several other instances supervising children alone in the infant room and in the hallway while the children were using the restroom.

Corrected Corrected by Nov 11, 2021

Category: supervision. Marked corrected in the state record.

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

At approximately 3:50pm, it was observed that more than one the school age child who just entered the facility were in the facility's hallway outside of the office by themselves. Staff person #2, who was responsible for those school age children was standing in the door way of the facility allowing more school age children to enter the building and was not physically present with the school age children who were in the hallway at the other end of the building. At approximately 4:10pm, it was observed that Staff person #1 left the infant room carrying one child and left 3 children alone in the infant room. Staff person #4 was observed to leave the preschool room and enter the hallway three times and thereby left 3 children alone in the preschool room.

Corrected Corrected by Dec 17, 2021

Category: ratio. Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

In the boy's restroom, the janitor's closet had toxic materials which were not locked and accessible to children. In the Young Toddler's , a bottle of hand sanitizer and hand lotion, labeled "Keep out of the reach of children" was located on a staff member's desk which was accessible. In the Preschool teacher's upper-right desk drawer was a bottle of perfume, medicated lotion and nail glue which was not locked and accessible to children.

Corrected Corrected by Nov 15, 2021

Category: physical safety. Marked corrected in the state record.

3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

A trash receptacle in the Preschool Room containing human secretions was not contained in a closed, plastic-lined receptacle.

Corrected Corrected by Oct 15, 2021

Marked corrected in the state record.

3270.72(c) · Screens shall be in good repair.

In the toddler room a ripped screen was observed while the window was open.

Corrected Corrected by Nov 15, 2021

Marked corrected in the state record.

3270.74 · The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

A copy of Emergency Telephone Numbers were not posted by the telephone in the young toddler's room.

Corrected Corrected by Oct 15, 2021

Category: physical safety. Marked corrected in the state record.

3270.75(b) · A first-aid kit must be inaccessible to children.

The School-Aged Room's First aid kit was hanging on a low hook making the first aid kit accessible to children.

Corrected Corrected by Nov 11, 2021

Category: health medication. Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

The following unsafe conditions were observed in the outdoor play space: a brick, posing a tripping hazard, green, vinyl coated fence tie was unsecured, sticking out and posing an impalement, puncture or cutting hazard. In the young toddler room, a wall vent needed secured properly which poses a pinch point or cutting hazard. In the Preschool Room, an unsecured picture with a glass front was observed posing a cutting hazard. On the window sills in the School-Aged Room, many spider webs were observed. In the Preschool Room, a light fixture above where the children were having circle time, was unclipped and the corner was hanging posing a falling hazard.

Corrected Corrected by Nov 11, 2021

Category: physical safety. Marked corrected in the state record.

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

In the infant room, next to the window, left of the mirror and towards the bottom of the floor, was peeling paint. In the Preschool Room, yellow peeling paint in the coat rack area was observed. In the young toddlers room, on the back wall peeling paint was observed.

Corrected Corrected by Nov 11, 2021

Category: physical safety. Marked corrected in the state record.

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

In the outdoor play space the following was observed: A broken plastic, basketball hoop base, multiple broken frisbees and hula hoops. In the Young Toddler room was a broken wooden handle on the play stove under the window. In the Young Toddler room, a yellow "Evenflo" event saucer had a ripped seat cover. A green toy bin on the wooden shelf, in the middle of the Preschool room was cracked posing a pinching or cutting hazard. The toy, play kitchen, top shelf's veneer was lifting which poses a cutting hazard to the children in the preschool room. In the School-Age Room, was an arcade basketball game with a broken, plastic tube posing a cutting hazard. In the School-Aged room a broken, wooden, play stove handle was observed. On both sides of the floor mirror in the back of the School-Aged Room, were two, protruding, two-inch screws, posing an impalement or cutting hazard. In the School-Aged Room's activity table, paper cups were observed to have a black substance which appeared to be mold.

Corrected Corrected by Dec 1, 2021

Category: physical safety. Marked corrected in the state record.

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and Styrofoam objects may not be accessible to children who are still placing objects in their mouths.

It was observed that there was a multicolored paper pom-pom accessible to children in the young toddler room. The paper pom-pom, if torn, could produce pieces that are less than 1 inch in diameter and could pose a choking hazard to the children in the room who are still placing objects in their mouths.

Corrected Corrected by Oct 15, 2021

Category: physical safety. Marked corrected in the state record.

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

In the Preschool Room, loose screws were observed on a child's wooden chair, at the art table, causing the chair to be unstable posing a fall hazard. In the Preschool Room, a blue, vinyl topped table was ripped with exposed wood and foam padding.

Corrected Corrected by Nov 11, 2021

Category: physical safety. Marked corrected in the state record.

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

In the Infant Room, rest equipment (cribs) lacked labels with the names of the specific children.

Corrected Corrected by Oct 15, 2021

Category: physical safety. Marked corrected in the state record.

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

At approximately 3:50pm, it was observed that more than one school age child who just entered the facility were in the facility's hallway outside of the office by themselves. Staff person #2, who was responsible for those school age children was standing in the door way of the facility allowing more school age children to enter the building and was not physically present with the school age children who were in the hallway at the other end of the building. At approximately 4:10pm, it was observed that Staff person #1 left the infant room carrying one child and left 3 children alone in the infant room. Staff person #4 was observed to leave the preschool room and enter the hallway three times and thereby left 3 children alone in the preschool room.

Corrected Corrected by Dec 17, 2021

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Staff person #2, who was responsible for those school age children was standing in the door way of the facility allowing more school age children to enter the building and was not physically present with the school age children who were in the hallway at the other end of the building. At approximately 4:10pm, it was observed that Staff person #1 left the infant room carrying one child and left 3 children alone in the infant room. Staff person #4 was observed to leave the preschool room and enter the hallway three times and thereby left 3 children alone in the preschool room.

Corrected Corrected by Dec 17, 2021

Category: supervision. Marked corrected in the state record.

3270.123(a) · An agreement shall be signed by the operator and the parent.

The Fee Agreement Form for Child File #4 lacked the Operator's Signature.

Corrected Corrected by Nov 11, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The Fee Agreement Form for Child File #4 lacked the Fee Amount.

Corrected Corrected by Nov 11, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(2) · An agreement shall specify the date on which the fee is to be paid.

The Fee Agreement Form for Child File #4 and #5 lacked the Date Fee to be Paid.

Corrected Corrected by Nov 11, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The Fee Agreement Form for Child File #4 lacked the Arrival and Departure Time.

Corrected Corrected by Nov 11, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The fee agreement for child #4 lacked the names of the persons designated by the parent to whom the child may be released.

Corrected Corrected by Nov 11, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

The Fee Agreement Form for Child File #1, #4 and #5 lacked the Date of Admission.

Corrected Corrected by Nov 11, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.123(b) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

The Fee Agreement Form for Child File #3 and #4 was the original agreement.

Corrected Corrected by Nov 11, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Child #1, #2, #3 and #4 had emergency contact forms that lacked the entire address of the release persons listed. The addresses were lacking the name of the city, state and zip code.

Corrected Corrected by Nov 11, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.131(e)(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The immunization record of Child # 1 lacked a yearly Influenza shot with no Letter of Exemption in File.

Corrected Corrected by Nov 11, 2021

Category: health medication. Marked corrected in the state record.

3270.165 · An operator shall conspicuously post the menu at least 1 week in advance or provide a menu to each family.

The facility had no lunch menu posted in a conspicuous location and not posted at least one week in advance.

Corrected Corrected by Oct 16, 2021

Marked corrected in the state record.

3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for Staff person #4, functioning as an assistant group supervisor, contained documentation of only 2240 hours of childcare experience.

Corrected Corrected by Nov 11, 2021

Category: supervision. Marked corrected in the state record.

3270.192(2)(iii) · A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff person #1 lacked documentation of training in the required 10 health and safety training topics.

Corrected Corrected by Nov 11, 2021

Category: health medication. Marked corrected in the state record.

3270.192(4) · A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file for staff #3 lacked documentation of completed Mandated Reporter Training.

Corrected Corrected by Nov 11, 2021

Category: background checks. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The facility's fire alarm test report documented testing of the fire alarm system on 7-13-21, 8-20-21 and 9-20-21. The tests conducted on those dates were more than 30 days apart.

Corrected Corrected by Nov 11, 2021

Category: recordkeeping. Marked corrected in the state record.